Healthcare Provider Details

I. General information

NPI: 1700921954
Provider Name (Legal Business Name): ALLEN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 04/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 E MARKET ST
LIMA OH
45801-4913
US

IV. Provider business mailing address

219 E MARKET ST
LIMA OH
45801-4913
US

V. Phone/Fax

Practice location:
  • Phone: 419-228-4457
  • Fax: 419-228-5173
Mailing address:
  • Phone: 419-228-4457
  • Fax: 419-228-5173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0289003
Identifier TypeMEDICAID
Identifier StateOH
Identifier Issuer

VIII. Authorized Official

Name: KATHLEEN LUHN
Title or Position: HEALTH COMMISSIONER
Credential:
Phone: 419-228-4457